Jeff Rippey

Unfortunately, each individual responds at their own pace. When it comes to acupuncture, some people respond quickly, some slowly, and some not at all. The only way to figure out which of these groups you might fall into is to try acupuncture and see what happens.

Acupuncture needles are solid. We aren't introducing any substances to the body nor are we taking anything out. Yes, you can have alcohol after a treatment.

My rule of thumb for pain patients is twice a week treatment if the pain is consistently over 8/10 on a pain scale. Once the pain comes down, we will drop the frequency to once per week.

If the pain is consistently less than 8/10, then one treatment per week is usually sufficient to get pain levels headed down.

There are very few things that would create a contraindication for acupuncture. As long as you don't have hemophilia or some other bleeding disorder, yes, you can receive acupuncture for your low back pain. Pain management is one place where the science is virtually overwhelming in terms of acupuncture's effectiveness versus placebo and it's effectiveness versus standard treatment.

It depends on what's causing the earache. Your first stop should be an ENT to rule out infection and to see if the cause of the problem can be determined.

If the ache is due to nerve entrapment or muscle tension then acupuncture can be a very good choice for treatment.

Potentially, a few things. Diet and exercise have a pretty good track record in improving chronic fatigue. It might be worthwhile to have some food allergy testing done - I've had a few cases where removing food items causing sensitivity made a dramatic improvement to fatigue cases.

Acupuncture and Chinese herbal medicine have a pretty good track record in this space. You're going to want to make sure you're seeing an actual licensed acupuncturist rather than someone providing "acupuncture like" services under the scope of some other license. Go to NCCAOM.org and use their "Find a Practitioner" link.

Conventional medicine can sometimes help, particularly if the fatigue is the result of long term symptoms from some other infection (like COVID or Lyme). Blood tests would the the initial step here to see if the original pathogen can be identified.

Acupuncture is an excellent treatment choice for all kinds of chronic pain, including neck pain. Neck pain is probably the second most common type of pain I deal with on a regular basis.

I see and hear questions like this often. For folks who've never had acupuncture and are nervous about the needles, it's a question that makes a lot of sense. Unfortunately, it's a question that cannot be answered.

The problem is two-fold:

1. Chinese medicine uses an entirely different diagnostic method that is looking at your entire system, not just one part. Health issues that are considered one thing in conventional medicine often have multiple potential causes in Chinese medicine. Without evaluating and diagnosing you, I have no idea why *you* are experiencing depression. Since treatment hangs on the diagnosis and I haven't diagnosed you, I can't tell you how I'd treat.

2. There are multiple different systems of acupuncture, not everyone practices the same way, and there's no general script or method for issues like in conventional medicine. Even assuming I had enough information to diagnose, there is no guarantee that a different acupuncturist would use my approach. Therefore, any needle locations I listed would be useless to you unless you're coming to see me.

Like I said, this is a question I get a lot, and I understand where it comes from. There's no reason that the average person should understand anything about the details of Chinese medicine. What I usually suggest for people in your position is to call around to several acupuncturists in your area and see which ones offer a free consult. Meet with a few and get an idea how they practice, where they're likely to place needles, and how many needles they're likely to use. Then make an appointment with the practitioner that made you the most comfortable.

Please make sure you're seeing a board certified, state licensed acupuncturist. A chiropractor or physical therapist is NOT the same thing (a PT in particular would be way out of scope treating an issue like this. In other words in a very gray area legally). To find licensed acupuncturists in your area you can go to NCCAOM.org and use their "Find a Practitioner" lookup.

What can be done is going to be dependent on why, exactly, you are experiencing low back pain. If you haven't done so yet, I'd stop by your primary care provider and at least have some x-rays taken. Depending on what imaging shows, you may have several options. If this is acute low back pain, you didn't experience any recent trauma to the area, and you've never had low back pain before, it's entirely likely that the pain will go away on its own over the next week or so. Use heat on the area and keep things moving. To prevent a recurrence, you can try strengthening your core with something like yoga or calisthenics.
If this is acute pain that has persisted for several weeks or more chronic pain without any complicating factors, then things like acupuncture, chiropractic, or physical therapy can help alleviate the issue. Keep in mind that it may take multiple modalities (i.e. acupuncture and chiropractic) and multiple treatment sessions. If your primary care is concerned at all about what they see in the image, you may be looking at a neurological consult and, potentially, surgery.

Sure. Exercise is an excellent way to get blood pressure back down to more of a normal range. Acupuncture has a good track record in this space. Some herbs are pretty good at normalizing pressure. What's going to work best for you is going to be dependent on how high your blood pressure currently is, how long it has been that way, and what other complicating factors you might have (pre-existing heart disease, family history of stroke, etc.) .Sometimes it makes more sense to start folks on prescription medication to get the pressure down quickly and then transition to more of a long-term solution.

With a lot of caveats, sometimes, yes. I treat a lot of migraine patients and, for those who respond to acupuncture, I'm usually able to get them into a much better space in terms of episodes and severity.

Across most types of pain, studies usually show results in an 8-10 treatment range.

Keep in mind, this is a statistical average; some patients required more than 10 sessions and some required fewer than 8. There's no way to predict in advance where you might end up.

With acupuncture in pain conditions you're looking at 3 potential outcomes:

1. No change. Acupuncture has about a 5% non-response rate. At a population level roughly 5% of people will not respond to acupuncture treatment. This means that 95% of people will, so the odds are in your favor here.

2. After a series of treatments, the pain goes away and doesn't come back.

3. After a series of treatments, the pain goes down and will stay at the new, lower, level provided the patient receives periodic treatment. The treatment interval can vary wildly - I have some patients that I see every 4-6 weeks and some that I see every 3-6 months.

Which of these are you? No one has any idea prior to evaluation and treatment.

A lot will depend on what, exactly, is going on in the ankle and how you define 'fixed'.

Acupuncture can sometimes cause a complete cessation of pain that persists more or less indefinitely.

Sometimes we end up in a maintenance situation where most of the time the pain is either not present or present at a very low level. Eventually, the pain will start to increase and the patient will need another acupuncture session. The time between sessions can be weeks or months.

Some people (about 5% of the population) do not respond to acupuncture treatment. Some people respond, but the rate of improvement is so slow that it's not functional for them.

If you haven't yet done so, your first stop should be your primary care provider. Get your ankle x-rayed so that you and your providers (including any acupuncturists) have an idea of what's going on.

The treatments for lower back pain can range from do nothing to surgery. Which treatment is the right one for you is going to depend on why you have back pain, how long you've had back pain, and if there are any other symptoms related to your back pain (radiating pain in the legs, numb/tingling legs or feet, weakness in the legs, loss of bladder or bowel control, etc.)

If you've never had low back pain before, there wasn't any trauma involved when the pain began, the pain has lasted less than a couple of weeks, and you're not experiencing any loss of bladder or bowel control or any severe weakness in the legs then your best bet is do nothing. Heat the area and stay active, in a week or two the pain will probably go away on its own. Once it heals, doing exercises that strengthen the core muscles will help prevent recurrence.

If the pain has been around a few weeks/months/years, you've had x-rays or other imaging, and there's nothing that rises to surgical emergency then you have a range of options. Acupuncture, chiropractic, physical therapy, yoga, and TaiChi all have a proven track record in managing, reducing, or eliminating low back pain. Keep in mind you may get the best results by combining modalities (in other words acupuncture + chiropractic), and you're looking at a series of sessions not just one treatment.

If you've had imaging that showed severe stenosis or an issue with the nerve structure in the low back and sacrum, you're most likely looking at surgical intervention.

If you haven't had any imaging (x-ray or MRI), I'd start there.

I don't use a lot of acupressure. The reason I don't use it a lot is because, compared to acupuncture, acupressure doesn't give relief as quickly and that relief doesn't last as long.

In other words, in my opinion, pressure techniques are not as good as acupuncture (using needles).

Usually acupuncture is an excellent treatment choice for sciatic pain. Most of the time I can get these patients into a pain free space. Sometimes patients experience a reduction in pain that has to be maintained with periodic treatment.

Acupuncture is an excellent treatment choice for most kinds of pain, including chronic neck pain. Some patients will experience a resolution of their pain and some patients will require a certain level of maintenance to keep the pain under control. Without knowing a lot more about your specific situation, it's difficult to know which of these outcomes you might experience.

Statistically, most studies show 8-10 treatments.

Keep in mind that's a statistical average range. Some people will require more treatment and some people will require less.

Yes, there are several studies showing acupuncture can be effective in the treatment of depression. If your depression is severe, I'd expect more sessions to get things under control.